Diabetes Changes Over Time

If your diabetes seems like it is getting harder to manage, even when you are trying to do everything “right,” you should know it’s not your fault. Type 2 diabetes is a progressive disease, meaning that it changes over time. There are many reasons why this may happen. There are also many things you can do to stay on top of your diabetes as it changes.

How exactly does diabetes change? One way is that your pancreas may be making less insulin than it once did. Or perhaps your body is no longer responding to the insulin it does make properly (called insulin resistance). In fact, all of these things could be happening.

How to manage type 2 diabetes as it changes

There are some lifestyle changes that may be helpful. Eating healthy and becoming more physically active may help you to better control your blood sugar. (Make sure you talk with your diabetes care team about ways you can be more physically active.)

For many people with diabetes these changes are a good start, but as diabetes changes, medication changes may also be needed. For instance:

You may start out treating your diabetes with pills (oral antidiabetic medications such as metformin) or non-insulin injectable medications.

If at some point pills or non-insulin injectable medications weren’t giving you enough control, your health care provider may have added a long-acting (basal) insulin at night or in the morning (sometimes both) to help manage blood sugar between meals and while you sleep.

When just basal insulin didn’t seem to be keeping you at your A1C goal any longer, your health care provider may have added a fast-acting insulin to your diabetes care plan for more control at mealtime.

Type 2 diabetes changes: How and why

Managing 2 types of insulin can be challenging for some people. NovoLog® Mix 70/30 can help. NovoLog® Mix 70/30 is a premix insulin which provides the control of mealtime insulin, and control in between meals, in just 1 insulin.

Learn more about how and why diabetes changes over time with this helpful fact sheet. Download Now

And, if you need help talking with your doctor about adding premix insulin to your care plan, you can use our Doctor Discussion Guide to organize your thoughts.

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How Diabetes Changes

Learn more about how and why type 2 diabetes changes. It’s all spelled out in this helpful fact sheet from Cornerstones4Care®.

Download Now